Individual
MS. BRENDA LEE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
117 HOEFLER ST, SYRACUSE, NY 13204-3417
(315) 516-9201
Mailing address
117 HOEFLER ST, SYRACUSE, NY 13204-3417
(315) 516-9201
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
285156-1
NY
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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